표준화 환자를 활용한 당뇨병 간호 시뮬레이션 실습교육이 간호대학생의 의사소통능력, 비판적 사고성향 및 임상수행능력에 미치는 효과

Effects of a Simulation Practicum using Standardized Patients on Communication Skills, Critical Thinking Disposition and Clinical Competency in Nursing Students: Diabetic Care

Abstract

Purpose: This study was conducted to identify the effects of a simulation practicum using standardized patients on nursing student's communication skills, critical thinking disposition and clinical competency. Methods: A one group pretest-posttest design was used. The participants consisted of 45 fourth year nursing students at G university. This study developed 2 scenarios for patients with diabetes mellitus and the simulation was conducted for an average of approximately 14 hours. Data were analyzed with descriptive analysis, t-tests and Cronbach's ${\alpha}$ using SPSS 21.0 program. Results: Communication skills, clinical competency and self-confidence for diabetic care were statistically improved; however, critical thinking disposition was not improved compared to that of pretest. Conclusion: Simulation practicum using standardized patients may be effective in enhancing communication skills, clinical competency and self-confidence for diabetic care among nursing students. In addition, standardized patients simulation program to promote the critical thinking needs to be developed and further research related to standardized patients simulation is in need.

Figure 1. Research process

Table 1. Homogeneity Test of General Characteristics between Two Groups

Table 2. Homogeneity Tests of the Dependent Variables between Two Groups

Table 3. Effects of a Simulation Practicum using Standardized Patients on the Dependent Variables for Diabetic care